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Table 1 Shiari-Javadi criteria for the diagnosis of generalized joint hypermobility in children. Adapted from Parvaneh VJ, Shiari R. Proposed modifications to Beighton criteria for the diagnosis of joint hypermobility in children. Indian Journal of Rheumatology. 2016;11(2):97–100

From: Correlation between benign joint hypermobility syndrome and primary focal hyperhidrosis in children: a novel concept

1Bilateral passive lateral neck rotation in which nose imaginary line down the frontal appendage of acromioclavicular joint1
2Passive vertical shoulders hyperextension so that elbows touch together from behind1
3Passive back hyperextension ≥30°1
4Bilateral passive elbow hyperextension ≥10°1
5Bilateral passive 2–5 MCPs hyperextension ≥90°1
6Thumbs touch volar aspect of forearm passively1
7Bilateral passive hip internal rotation ≥60°1
8Bilateral passive knee hyperextension ≥10°1
Total scorea8
  1. a The criteria are fulfilled with 6 scores or higher
  2. Exclusion criteria: less than 3 years of age and over 16 years of age, multiple fractures or a history of dislocated optic lens, non- benign musculoskeletal pain, and Marfan or Ehlers-Danlos syndrome